Organization
CCL LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AYAZ AHMAD OWNER (PRESIDENT)
(844) 990-1335
Entity
Organization
Contact information
Practice address
2700 TIBBETS DR STE 102, BEDFORD, TX 76022-6900
(844) 990-1335
(855) 631-0414
Mailing address
3720 E LA SALLE ST STE 104, PHOENIX, AZ 85040-3976
(844) 990-1335
(855) 631-0414
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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